The psychiatric sequelae of burn injury
2014 (English)In: General Hospital Psychiatry, ISSN 0163-8343, E-ISSN 1873-7714, Vol. 36, no 5, 516-522 p.Article in journal (Refereed) Published
Objective: To examine factors predicting psychiatric morbidity, taking into account the full range of psychiatric disorders before and after burn injury. Methods: A cohort of 107 patients consecutively admitted to a Swedish national burn center was examined for lifetime psychiatric morbidity, as well as 94 patients at 1 year postinjury. Sixty-seven individuals, some from that same cohort, were interviewed at 2 to 7 years postinjury. The predictive effects of psychiatric history, personality and other risk factors for psychiatric morbidity following burn were evaluated with multiple regression analyses. Results: The prevalence of having a psychiatric disorder preburn was 57%. One year postinjury 19% had minor or major depression and 23% had subsyndromal or full posttraumatic stress disorder. At 2 to 7 years, 31% fulfilled the criteria for a psychiatric disorder. The strongest contributing factors were a history of psychiatric morbidity and neuroticism. Conclusions: Two-thirds of the patients had a lifetime psychiatric disorder, and one-third had a psychiatric diagnosis 2 to 7 years postburn. Mental health problems can have a major impact on daily life and functional abilities. Thus, identification and treatment of a range of psychiatric disorders, taking into account preburn psychiatric disorders and personality, is important for optimal adjustment after burn.
Place, publisher, year, edition, pages
2014. Vol. 36, no 5, 516-522 p.
Burn, Psychiatric morbidity, Posttraumatic stress disorder, Depression, Trauma
IdentifiersURN: urn:nbn:se:uu:diva-232579DOI: 10.1016/j.genhosppsych.2014.05.003ISI: 000340872400016OAI: oai:DiVA.org:uu-232579DiVA: diva2:749617